Q. What is the treatment for rheumatoid arthritis?
Hello doctor,
I am diagnosed with rheumatoid arthritis. I have swelling on ankles, elbows and some fingers along with deformity in right wrist. Currently, I am taking ayurvedic medication. I need consultation.
Hello,
Welcome to icliniq.com.
If you are diagnosed with rheumatoid arthritis, have completed your family, and do not want to conceive further, then start DMARDS (disease-modifying antirheumatic drugs), Methotrexate 15 mg once a week and Hydroxychloroquine 200 mg morning and evening if you have active arthritis. Start low dose of Methylprednisolone (Sterio 4 mg) once daily and Pantop 40 mg before breakfast. If you want to have kids, then instead of Methotrexate take SAAZ (Sulfasalazine) 500 mg morning and evening. Also, mention your C-reactive protein and ESR (erythrocyte sedimentation rate)
For more information consult a rheumatologist online --> https://www.icliniq.com/ask-a-doctor-online/rheumatologist
Thank you doctor,
Is Prednisone a safe alternative to DMARDS?
Hi,
Welcome back to icliniq.com.
Prednisone is not DMARD. It is a steroid. It does not prevent joint deformity. Only Methotrexate does.
For more information consult a rheumatologist online --> https://www.icliniq.com/ask-a-doctor-online/rheumatologist
Ask a Query
Consult by Phone
Video Chat 
Comprehensive Medical Second Opinion.Submit your Case
Related Questions & Answers
The biopsy of my skin rash showed interface dermatitis with mucin. Do I have lupus?
Query: Hello doctor, I am a 43 year old female, and I have had itchy, red, and burning rashes. It all started as a few bumps on my right arm, above my eyebrow, right upper nose area, all over the jaw and chin area, right chest and upper back react badly to the sun, and it is getting worse. I have had a l... Read Full »
Why do I have acute pain in my whole body?
Query: Hi doctor, I am a 42 year old male. Two months back, one fine day, when I woke up I had acute pain in my whole body. I was unable to stand up, walk or pull anything. I had pain in and around the knees, elbow and wrist. I consulted a general physician and got uric acid test done. My uric acid was 8.... Read Full »
How do I manage my rheumatoid arthritis until I wait for my specialist?
Query: Hello doctor, My primary care physician said that I may have RA. My ESR rate was 27, my CRP was 14.1 and my CCP antibody IgG was 500. What does this mean? I have heard a high CCP result could indicate more aggression in my RA, if that is what I have. Read Full »
Popular
Ask your health query to a doctor online?
Ask a Rheumatologist Now* guaranteed answer within 4 hours.